Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.53 / $39.11 / $69.43	Facility	26	$22.53	$39.11	$69.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $53.59 / $85.40	Professional		$34.07	$53.59	$85.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $22.53 / $33.50	Professional	26	$20.14	$22.53	$33.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $28.27 / $30.29	Professional	26	$24.23	$28.27	$30.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $44.81 / $79.98	Professional		$33.65	$44.81	$79.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.64 / $25.72 / $44.66	Professional	26	$20.64	$25.72	$44.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $29.22 / $58.44	Professional		$22.21	$29.22	$58.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.30 / $24.30 / $24.30	Facility	26	$24.30	$24.30	$24.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $59.26 / $97.83	Professional		$40.11	$59.26	$97.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $30.00 / $46.45	Professional	26	$21.20	$30.00	$46.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $57.14 / $90.66	Professional		$39.47	$57.14	$90.66
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $29.14 / $44.64	Professional	26	$21.20	$29.14	$44.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $33.88 / $49.49	Professional		$25.35	$33.88	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $50.11 / $95.63	Professional		$31.16	$50.11	$95.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.42 / $27.38 / $47.92	Professional	26	$18.42	$27.38	$47.92